Nephrotoxicity: Bacitracin in parenteral (intramuscular) therapy may cause renal failure due to tubular and glomerular necrosis. Its use should be restricted to infants with staphylococcal pneumonia and empyema when due to organisms shown to be susceptible to bacitracin. It should be used only where adequate laboratory facilities are available and when constant supervision of the patient is possible.
Renal function should be carefully determined prior to and daily during therapy. The recommended daily dose should not be exceeded and fluid intake and urinary output should be maintained at proper levels to avoid kidney toxicity. If renal toxicity occurs the drug should be discontinued. The concurrent use of other nephrotoxic drugs, particularly streptomycin, kanamycin, polymyxin B, polymyxin E (colistin), neomycin, and vancomycin, should be avoided.
The vial content of Bacitracin for Injection USP is sterile. The therapeutic class of the drug is antibacterial and is intended for intramuscular use.
BACiiM (Bacitracin) is indicated for the following:
In accord with the statements in the “ Warning Box ” the use of intramuscular bacitracin is limited to the treatment of infants with pneumonia and empyema caused by staphylococci shown to be susceptible to the drug.
To reduce the development of drug-resistant bacteria and maintain the effectiveness of bacitracin and other antibacterial drugs, bacitracin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.
Media Articles Related to Baciim (Bacitracin)
Pan-Resistant NDM-Beta-Lactamase-Producing K. pneumoniae
Source: Medscape General Surgery Headlines [2017.01.13]
This case of a patient found to have K. pneumoniae that was resistant to all available antimicrobials highlights the need to obtain history of health care exposures in cases of suspected CRE.
Morbidity & Mortality Weekly Report
Source: MedicineNet Pneumococcal Vaccination Specialty [2017.01.13]
Title: Pneumonia Symptoms
Category: Doctor's & Expert's views on Symptoms
Created: 7/11/2013 12:00:00 AM
Last Editorial Review: 1/13/2017 12:00:00 AM
Do I Have Pneumonia? Symptoms & Signs
Source: MedicineNet Pneumococcal Vaccination Specialty [2016.09.13]
Title: Do I Have Pneumonia? Symptoms & Signs
Category: MedicineNet Quiz
Created: 12/2/2010 12:00:00 AM
Last Editorial Review: 9/13/2016 12:00:00 AM
Mycoplasma Pneumoniae: What You Need to Know
Source: MRSA / Drug Resistance News From Medical News Today [2016.08.26]
Learn all about Mycoplasma pneumoniae, bacteria that can cause mild infections in the lung. This article looks at transmission, symptoms, and treatment.
Source: MedicineNet Creutzfeldt-Jakob Disease Specialty [2016.04.22]
Category: Diseases and Conditions
Created: 12/31/1997 12:00:00 AM
Last Editorial Review: 4/22/2016 12:00:00 AM
Published Studies Related to Baciim (Bacitracin)
Effects of feeding diets containing bacitracin methylene disalicylate to heat-stressed finishing pigs. [2011.06]
The objective of this study was to evaluate the effects of heat stress and dietary bacitracin methylene disalicylate (BMD) on growth performance, carcass characteristics, and immunological responses in finishing pigs. Four groups of 32 finishing pigs (n = 128) with initial BW between 80 to 90 kg were used...
Effects of dietary mannan oligosaccharide, bacitracin methylene disalicylate, or both on the live performance and intestinal microbiology of turkeys. [2004.07]
Hybrid male turkeys were fed to 18 wk of age in a completely randomized design with 10 replicate pens (18 birds each) per treatment to compare growth promoters. Four dietary treatments were used: negative control (CON), bacitracin methylene disalicyate (BMD) at 55 mg/kg to 6 wk and 27.5 mg/kg thereafter, mannan oligosaccharide (MOS) at 0.1% to 6 wk and 0.05% thereafter, and BMD and MOS at concentrations listed above...
The efficacy of bacitracin methylene disalicylate when fed in combination with narasin in the management of necrotic enteritis in broiler chickens. [2003.03]
The efficacy of bacitracin methylene disalicylate (BMD) in the management of necrotic enteritis (NE) when fed in combination with narasin was investigated in a floor-pen study of 2,000 broiler chickens using a Clostridium perfringens inoculum challenge model.
Evaluation of zinc bacitracin capsules versus placebo for enteric eradication of vancomycin-resistant Enterococcus faecium. [2001.08.15]
Patients who are colonized with enteric vancomycin-resistant Enterococcus faecium (VREF) are a major reservoir for transmission of and infection with this organism. In a randomized, controlled study to assess the effectiveness of high-dose bacitracin in the eradication of enteric VREF, 12 patients who were colonized with VREF were randomized to receive placebo (n=6) or orally administered zinc bacitracin (n=6) for 10 days...
Bacitracin versus mupirocin for Staphylococcus aureus nasal colonization. [1999.05]
We performed a randomized prospective study of 5-day treatment with topical mupirocin or bacitracin for the elimination of Staphylococcus aureus nasal colonization in healthcare workers (HCWs). Nasal cultures were obtained from 141 HCWs, 37 (26%) of whom showed S...
Clinical Trials Related to Baciim (Bacitracin)
Use of Topical Tranexamic Acid and Bacitracin in Dialysis Patients [Not yet recruiting]
This study will investigate how the use of Tranexamic acid and Bacitracin applied to the
bleeding site after the hemodialysis fistula needle is removed will affect skin wound
Clinical Evaluation of Bacitracin [Completed]
Using Santyl or Bacitracin on Second Degree Burns [Withdrawn]
Subjects who have minor, second degree burns may be enrolled in this study. Subjects will
receive either Santyl ointment or bacitracin ointment to apply to the burn until it heals.
Bandages will be used to keep the burn covered while it heals. Second degree burns
generally leave a scar. Once the burn heals, lotion and an appropriate bandage will be used
to try to minimize the appearance of a scar.
The study hypothesis is that burns treated with Santyl will have a better scar appearance
than burns treated with bacitracin.
Subjects enrolled in this study will make once a week visits to the University of Kansas
Medical Center outpatient burn clinic until the burn heals. The burn will be assessed for
healing at these visits. Once healed, visits to the clinic will be every 1-3 months for up
to 1 year. At these visits, the appearance of the scar will be evaluated
The Relationship of Hemoglobin A1c and Diabetic Wound Healing [Terminated]
The purpose of this study is to investigate the relationship of hemoglobin A1c in diabetic
wound healing. Additionally, a comparison of two wound dressings, AmeriGel® (Amerx Health
Care Corp., Clearwater, FL) and Bacitracin, with and without vitamin C supplementation, will
be done to evaluate impact on time to wound closure.
Effectiveness of Antibiotic Delivery Via Bio-absorbable Sponge [Completed]
This study will evaluate the efficacy of a nasopore sponge dressing soaked in Bacitracin VS
a sponge soaked in Saline / and the administration of oral antibiotics.
PATIENT REVIEWS / RATINGS / COMMENTS
Based on a total of 1 ratings/reviews, Baciim has an overall score of 5. The effectiveness score is 2 and the side effect score is 4. The scores are on ten point scale: 10 - best, 1 - worst.
Baciim review by care giver of 28 year old male patient
|Overall rating:|| || |
|Effectiveness:|| || Ineffective|
|Side effects:|| || Severe Side Effects|
|Condition / reason:|| || simple laceration|
|Dosage & duration:|| || ointment (dosage frequency: topically applied once) for the period of once|
|Other conditions:|| || NONE KNOWN|
|Other drugs taken:|| || NONE|
|Benefits:|| || THIS IS A WIDELY USED COMMON ANTIBIOTIC OINTMENT FOR SUPERFICIAL LACERATIONS|
|Side effects:|| || A FULMINATING ALLERGIC REACTION|
|Comments:|| || YOUNG MALE WORKING IN A FACTORY CAME TO HEALTH CLINIC WITH A SUPERFICIAL LACERATION ON HIS FINGER - AFTER CLEANSING THE AREA WITH SOAP WATER PEROXIDE BACITRACIN AND A CLEAN DRY DRESSING APPLIED. WORKER CAME BACK THE FOLLOWING DAY WITH THE FINGER SWOLLEN 2XS AND NOW WOUND ENLARGED AND DRAINING. SENT TO ER FOR F/UP TX OF STEROIDS.|
Page last updated: 2017-01-13